Organization
SUNCOAST COMMUNITY HEATH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R RODRIGUEZ (CFO)
(813) 349-7563
Entity
Organization
Contact information
Practice address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7588
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7588
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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